Characteristics and clinical management of inguinal endometriosis

Natsumi Iwai, Ai Saeki, Rie Kusumoto, Shota Asano, Yumi Hosokawa, Takashi Matsumoto
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2022 · vol. 38(2) , pp. 11–18 · doi:10.5180/jsgoe.38.2_11 · W4317924336
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⚙ AI-generated summary by claude@2026-06, 2026-06-22 ⓘ

This study identified characteristics of 23 inguinal endometriosis cases and found that resection from the round ligament to the inguinal lesion, with individualized therapy, effectively manages the condition without recurrence.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-22 · read from full text ⓘ

This retrospective single-institution study evaluated 23 patients with inguinal endometriosis diagnosed between January 2006 and September 2021, focusing on clinical characteristics and management in a setting where the condition is sometimes misdiagnosed as an inguinal hernia or a hydrocele. The authors report that, under their hospital policy, surgical treatment involved resection extending from the round ligament to the inguinal lesion, and they state that no recurrences had occurred to date with this approach. A key limitation is the retrospective design and reliance on a single-center experience, as well as the lack of details on how drug versus surgery decisions were operationalized across patients. This paper is centrally about endometriosis — it specifically describes characteristics and surgical management outcomes in inguinal endometriosis.

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Abstract

Inguinal endometriosis, a rare and diagnostically challenging condition, is occasionally misdiagnosed by general surgeons as an inguinal hernia or a hydrocele of the canal of Nuck. In this study, we retrospectively investigated 23 patients with inguinal endometriosis diagnosed at our hospital between January 2006 and September 2021. Per our hospital policy, surgical treatment consists of resection from the round ligament to the inguinal lesion; notably, to date, no patient has shown recurrence with this approach. Individualized therapy (drug vs. surgical treatment) should be carefully selected based on the patient's condition.
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原著論文 当院における鼠径部子宮内膜症23症例の治療経験 2022 年 38 巻 2 号 p. 11-18 詳細 抄録 Inguinal endometriosis, a rare and diagnostically challenging condition, is occasionally misdiagnosed by general surgeons as an inguinal hernia or a hydrocele of the canal of Nuck. In this study, we retrospectively investigated 23 patients with inguinal endometriosis diagnosed at our hospital between January 2006 and September 2021. Per our hospital policy, surgical treatment consists of resection from the round ligament to the inguinal lesion; notably, to date, no patient has shown recurrence with this approach. Individualized therapy (drug vs. surgical treatment) should be carefully selected based on the patient's condition. © 2022 日本産科婦人科内視鏡学会

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Condition tags

endometriosis

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